| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
Room & Board-Semiprivate (Two-Beds)-Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |